Individual
GRACE KATHERINE TRYBOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
100 E US HIGHWAY 36, ATWOOD, IL 61913-7233
(217) 578-3814
Mailing address
1000 MEDICAL CENTER DR, MONTICELLO, IL 61856-2116
(217) 762-1755
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.114336
IL
Other
Enumeration date
09/18/2024
Last updated
01/14/2026
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